CAJ | 학술논문

目的探讨转化医学理念结合病例讨论在胃肠外科临床教学中的应用.方法第二军医大学临床医学本科系2007、2008级学员各100名,每年级分为试验班50名,对照班50名;其中试验班又分为讨论班和综合班,各25名.讨论班采用病例讨论教学进行授课,综合班采用转化医学理念结合标准化病例讨论教学法;对照班采用传统教学法.结果试验班学员的成绩明显优于对照班;问卷调查显示90％的学员认为综合教学法优于传统法.试验班较对照班对临床问题探索的兴趣显著增加(90％vs.50％);医学职业的使命感和责任心明显加强(86％vs.64％);科研思路的提炼能力明显提升(80％vs.48％);自身能力和素质得到提高(76％ vs.50％);学习深度和广度明显增加(80％ vs.52％);自主学习与独立思考的意识增强(88％ vs.54％).其中综合班在科研思路、自身能力和素质以及学习的深度及广度、自主学习与独立思考方面进步更加明显.结论转化医学结合病例讨论教学突破了传统教学法,更适应现代医学教学的要求,取得更好的教学效果,可在教学改革中进一步推广.
목적 탐토전화의학이념결합병례토론재위장외과림상교학중적응용.방법 제이군의대학림상의학본과계2007、2008급학원각100명,매년급분위시험반50명,대조반50명;기중시험반우분위토론반화종합반,각25명.토론반채용병례토론교학진행수과,종합반채용전화의학이념결합표준화병례토론교학법;대조반채용전통교학법.결과 시험반학원적성적명현우우대조반;문권조사현시90％적학원인위종합교학법우우전통법.시험반교대조반대림상문제탐색적흥취현저증가(90％vs.50％);의학직업적사명감화책임심명현가강(86％vs.64％);과연사로적제련능력명현제승(80％vs.48％);자신능력화소질득도제고(76％ vs.50％);학습심도화엄도명현증가(80％ vs.52％);자주학습여독립사고적의식증강(88％ vs.54％).기중종합반재과연사로、자신능력화소질이급학습적심도급엄도、자주학습여독립사고방면진보경가명현.결론 전화의학결합병례토론교학돌파료전통교학법,경괄응현대의학교학적요구,취득경호적교학효과,가재교학개혁중진일보추엄.
Objective To explore the application of case-based discussion combined with translational medicine teaching method in clinical teaching of gastrointestinal surgery.Methods Totally 100 undergraduates of clinical medicine in grade 2007 and 100 undergraduates in grade 2008 from the second military medical university were divided into experimental class (50 students,25 in discussion class and 25 in comprehensive class) and control class (50 students).Method of case-based discussion was applied in discussion class; method of case-based discussion combined with translational medicine was employed in comprehensive class and traditional method was used in control class.Results Scores in experimental class were superior to those in control class ; questionnaire survey showed that 90％ students thought the new model was better than the traditional model; the interests of students in exploring clinical problem in experimental class were increased (90％ vs.50％ ) ;the sense of mission and responsibility was Strengthened (86％ vs.64％ ) ;the scientific research thinking was more active (80％ vs.48％ ) ; the individual ability and quality were enhanced (76％ vs.50％ ),the depth and width of study were markedly increased (80％ vs.52％ ),the consciousness of independent study and thinking was strengthened (88％ vs.54％ ).Comprehensive class had more obvious improvements in scientific research thinking,individual ability and quality,depth and width of study,independent study and thinking.Conclusions The new teaching model which combined translational medicine with case discussion breaks through the traditional model and adapts to the requirements of modem medicine,it can enhance the teaching effect and worth promoting in educational reform.